Organization
LARRY W. WEATHERS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE W WEATHERS M.D. (PRESIDENT)
(501) 268-9863
Entity
Organization
Contact information
Practice address
305 RODGERS DR, SEARCY, AR 72143-7432
(501) 268-9869
Mailing address
305 RODGERS DR, SEARCY, AR 72143-7432
(501) 268-9863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2535
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770635047
NPI
AR
01
—
B90658
UPIN
AR
Enumeration date
05/29/2007
Last updated
11/07/2007
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